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The National Diabetes Foot Care Audit (NDFA) Interval Review is the 6th NDFA report. The NDFA is a continuous audit of diabetic foot disease in England and Wales. The audit enables all diabetes foot care services to measure their performance against the National Institute for Health and Care Excellence (NICE) clinical guidelines and peer units, and to monitor adverse outcomes for people with diabetes who develop diabetic foot disease. All organisations which provide a diabetic foot ulcer treatment service are eligible for inclusion in the audit. The audit reports on the following:
Structures: are the nationally recommended care structures in place for the management of diabetic foot disease?
Processes: does the treatment of active diabetic foot disease comply with nationally recommended guidance?
Outcomes: are the outcomes of diabetic foot disease optimised?
The NDFA is part of the National Diabetes Audit (NDA) portfolio within the National Clinical Audit and Patient Outcomes Programme (NCAPOP), commissioned by the Healthcare Quality Improvement Partnership (HQIP).
The NDFA Interval Review has found:
An increase in the proportion of referrals seen by a specialist foot care team within 13 days
From 43% in 2014-15 to 46% in 2020-21
A linked reduction in the proportion of ulcers that are graded as severe at first expert assessment (FEA)
From 48% in 2014-15 to 43% in 2020-21
A linked reduction in the proportion of ulcers still active (not healed) at 12 weeks after FEA
From 49% in 2014-15 to 40% in 2020-21
To help guide service improvement, the NDFA has identified recommendations that aim to further improve foot care provision and outcomes. Full details of the NDFA findings and recommendations are published in subsequent chapters of the report.